The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.
The influence of extra-therapeutic social support on the association between therapeutic bond and treatment outcome
Abstract
Objective: Both good therapeutic bond as well as extra-therapeutic social support seem to enhance treatment outcomes. Some features of the therapeutic bond are similar to experiences in extra-therapeutic relationships (e.g., feelings of trust or belongingness). Patients with a lack of social support might benefit particularly from a good therapeutic bond, because a well-formed bond can partly substitute relationship needs. This study replicates former research (main effects of bond and social support) and investigates the hypothesized interaction between both constructs. Method: Data from 1206 adult patients receiving cognitive-behavioral outpatient therapy were analyzed. Patients rated early therapeutic bond, their impairment, as well as their social support. Multilevel regression analyses were applied to test for main effects and interactions between bond and social support predicting therapy outcome post treatment. Results: Consistent with prior research, both therapeutic bond and social support predicted therapy outcome. Among patients with high social support, the impact of the therapeutic bond was minimal, while patients with low social support benefited most from a good therapeutic bond. Conclusions: Results suggest that both the therapeutic bond and social support play a role in therapy outcomes and that good therapeutic bond quality might be especially important if a patient lacks social support.
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“Although it can be theorized that some clients' lack of social support could have reflected their existing interpersonal problems and symptomology, Zimmermann et al. (2020) demonstrated that social support as a predictor had a unique impact on treatment outcomes.”
From The role of social support in the effectiveness of counseling for international students (2026) · cites this paper as Zimmermann et al. (2020)
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Cited by
Sorted by citations
The role of social support in the effectiveness of counseling for international students
Tan, H., Castonguay, L. G., Janis, R. A., Hayes, J. A., Magruder, S. A. N., Chun-Kennedy, C. L., & Scofield, B. E. (2026) · Cogent Mental Health · doi:10.1080/28324765.2026.2653852
Metadata
- Authors
- Zimmermann, D., Wampold, B. E., Rubel, J. A., Schwartz, B., Poster, K., Schilling, V. N. L. S., Deisenhofer, A.-K., Hehlmann, M. I., Gómez Penedo, J. M., & Lutz, W.
- Affiliations
- Clinical Psychology and Psychotherapy, Department of Psychology, University of Trier, Trier, Germany
- Modum Bad Research Institute, University of Wisconsin, Madison, WI, USA
- Justus-Liebig-Universität Gießen, Gießen, Germany
- Universidad de Buenos Aires, Buenos Aires, Argentina
- ORCID
- Venue
- Psychotherapy Research
- Publisher
- Informa UK Limited
- Published
- 2020-11-28
- Volume
- 31
- Issue
- 6
- Pages
- 726-736
- ISSN
- 1050-3307
- 1468-4381
- Cited by
- 31
- References
- 17
- Language
- en
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